| Regimental number | 4291 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 405 Dawson Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs A M Nelson, 405 Dawson Street, Ballarat, Victoria |
| Enlistment date | 26 July 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 29 December 1915 |
| Regimental number from Nominal Roll | 3294 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 19 August 1919 |
